Mr Michael Elvis Davison, RN | |
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
(901) 818-2160 | |
(901) 682-9522 |
Full Name | Mr Michael Elvis Davison |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 1900 Exeter Rd, Germantown, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033432414 | NPI | - | NPPES |
P00907127 | Other | TN | RAILROAD MEDICARE |
4264006 | Other | TN | BLUE CROSS |
09304510 | Medicaid | MS | |
1520341 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R54101 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APN 15003 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelinc Anesthesia V, P.a. | 8921359712 | 30 |
Entity Name | Lifelinc Anesthesia V, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Elvis Davison, RN 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 | Mr Michael Elvis Davison, RN 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2160 |
Barbara Bentley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2001 Kilbirnie Dr, Germantown, TN 38139 Phone: 901-751-2067 | |
Ms. Ashley White Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2183 Fax: 901-682-9522 | |
Mitchell Joseph Groome, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6000 | |
Colton Hunter Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Germantown, TN 38138 Phone: 901-818-2160 | |
Ms. Jeanne Delcambre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2160 Fax: 901-682-9522 | |
Laura Elizabeth Haumesser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd Ste 210, Germantown, TN 38138 Phone: 901-818-2169 Fax: 901-682-9443 | |
Sarah Elizabeth Hodge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1310 Wolf Park Dr, Germantown, TN 38138 Phone: 901-624-5151 |